Behaviorally Bisexual Men and their Risk Behaviors with Men and Women
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Gay and bisexual men are often treated as a homogenous group; however, there may be important differences between them. In addition, behaviorally bisexual men are a potential source of HIV infection for heterosexual women. In this study, we compared 97 men who have sex with men only (MSM) to 175 men who have sex with men and women (MSMW). We also compared the 175 MSMW to 772 men who have sex with women only (MSW). Bivariate and multiple logistic regression analyses were performed to assess correlates of MSMW risk behaviors with men and with women as well as whether MSMW, compared with MSW, engaged in more risky behaviors with women. Compared with MSM, MSMW were less likely to be HIV-positive or to engage in unprotected receptive anal intercourse. In contrast, MSMW were more likely than MSW to be HIV-positive and to engage in anal intercourse with their female partners; however, rates of unprotected anal intercourse were similar. The study findings suggest that there may be important differences in HIV risk behaviors and HIV prevalence between MSM and MSMW as well as between MSMW and MSW.
KeywordsBehaviorally bisexual men Men who have sex with men Risk behaviors HIV
This research is supported by grant no. U01da017373 from the National Institute on Drug Abuse (NIDA). The interpretations and conclusions do not necessarily represent the position of NIDA or the U.S. Department of health and human services.
- 1.Normand JL, Lambert EY, Vlahov D. Understanding the dynamics of sexual transmission of HIV among drug-using populations: an integration of biological, behavioral, and environmental perspectives. J Urban Health. 2003; 80(4 Suppl 3): iii1–6.Google Scholar
- 2.McFarland W, Katz MH, Stoyanoff SR, et al. HIV incidence among young men who have sex with men—seven U.S. cities, 1994–2000 (Reprinted from MMWR, 2001;50:440-444). JAMA. 2001; 286(3): 297–299.Google Scholar
- 16.Shehan DA, LaLota M, Johnson DF, et al. HIV/STD risks in young men who have sex with men who do not disclose their sexual orientation—six U.S. cities, 1994–2000. (Reprinted from MMWR. 2003;52:81–86,). JAMA. 2003; 289(8): 975–977.Google Scholar
- 34.Weber AE, Craib KJ, Chan K, et al. Sex trade involvement and rates of human immunodeficiency virus positivity among young gay and bisexual men. Int J Epidemiol. 2001; 30(6): 1449–1454; discussion: 1455–1446.Google Scholar
- 35.Centers for Disease Control and Prevention. Methamphetamine use and HIV risk behaviors among heterosexual men—preliminary results from five northern California counties, December 2001–November 2003. MMWR. 2006; 55(10): 273–277.Google Scholar
- 40.Durant T, McDavid K, Hu X, Sullivan P, Janssen R, Fenton K. Racial/Ethnic disparities in diagnoses of HIV/AIDS—33 states, 2001–2005 (Reprinted from MMWR. 2006;56:189–193). JAMA. 2007; 297(15): 1647–1649.Google Scholar
- 43.Iguchi MY, Ober AJ, Berry SH, et al. Simultaneous recruitment of drug users and men who have sex with men in the United States and Russia using respondent driven sampling: Sampling methods and implications. J Urban Health. 2009.Google Scholar